Provider Demographics
NPI:1518398015
Name:ANDERSON, JOYECE (ABD, MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JOYECE
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:ABD, MSW, LMSW
Other - Prefix:
Other - First Name:JOI
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 AMELIA FOREST LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1759
Mailing Address - Country:US
Mailing Address - Phone:330-518-2343
Mailing Address - Fax:803-777-3498
Practice Address - Street 1:1417 GREGG ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3527
Practice Address - Country:US
Practice Address - Phone:803-758-2445
Practice Address - Fax:803-758-2445
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC93721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical